People v. Johnson ( 2018 )


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  • Filed 3/13/18
    CERTIFIED FOR PUBLICATION
    IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA
    THIRD APPELLATE DISTRICT
    (San Joaquin)
    ----
    THE PEOPLE,                                                      C082890
    Plaintiff and Respondent,                  (Super. Ct. No.
    LODCRFDV20160002167)
    v.
    DEREK ANTONIO JOHNSON,
    Defendant and Appellant.
    APPEAL from a judgment of the Superior Court of San Joaquin County, Xapuri
    Villapudua, Judge. Reversed with directions.
    C. Matthew Missakian, under appointment by the Court of Appeal, for Defendant
    and Appellant.
    Xavier Becerra, Attorney General, Gerald A. Engler, Chief Assistant Attorney
    General, Michael P. Farrell, Assistant Attorney General, Carlos A. Martinez and
    Catherine Tennant Nieto, Deputy Attorneys General, for Plaintiff and Respondent.
    1
    Defendant Derek Antonio Johnson, charged with domestic violence causing
    injury, assault with force likely to inflict great bodily injury, and mayhem1 engaged in
    multiple acts of self-mutilation, shouted to voices in his head, could not be quieted during
    court proceedings, defecated in his pants, was placed in a medical unit at the prison
    where he was given medication and was put on a suicide watch, and his lawyer expressed
    doubt throughout the trial about his mental competence to understand the proceedings
    and to assist in his defense. We conclude defendant’s behavior constituted substantial
    evidence he was not mentally competent to stand trial. The trial court’s refusal to hold a
    competency hearing when faced with substantial evidence defendant was incompetent to
    stand trial (Pen. Code, § 1368) violates his federal and state right to due process and
    necessitates reversal of the judgment.
    The jury found defendant guilty of domestic violence causing injury, assault with
    force likely to inflict great bodily injury, and mayhem. The jurors could not agree on the
    great bodily injury enhancements, and therefore, the court dismissed the enhancements
    for insufficient evidence. The court also dismissed the prior prison term allegations.
    Because we must reverse the judgment due to the trial court’s failure to hold a
    competency hearing, we need not address most of the other issues defendant raises on
    appeal. We conclude, however, there is sufficient evidence to support mayhem for
    purposes of any future prosecution on the mayhem count.
    FACTS
    The facts relevant to the dispositive issues on appeal are set forth in our analysis of
    the two issues we address. Few other background facts are salient to our discussion.
    Suffice it to say, defendant and the victim, both of whom struggled with drug addiction,
    had an acrimonious relationship for about seven months. Pursuant to Evidence Code
    1 Defendant was also charged with dissuading a witness by force or threat. The jury
    found him not guilty. This count has no bearing on this appeal.
    2
    section 1109, the prosecution introduced evidence of two uncharged incidents of
    domestic violence. The first occurred while the victim was withdrawing from heroin in
    July of 2015. Defendant grabbed her by the throat, held her against the wall, threw her
    down in the closet, grabbed her hair and dragged her across the room, punched her 50 to
    100 times, and bit her. She testified defendant did not let her out of the house for a week.
    She acknowledged that he was trying to keep her away from friends who were prostitutes
    and drug addicts.
    The second incident of uncharged domestic violence occurred in early 2016. The
    victim moved out of defendant’s grandmother’s house and moved home just before
    Christmas 2015. But afraid defendant would find her at her parents’ house, she moved
    into a women’s shelter. She left the shelter to live with him for another couple of weeks
    and relapsed while she was with him. They used drugs together for a couple of days, but
    she wanted heroin, her drug of choice. Defendant made her stay in the bathroom for a
    few hours and threatened her.
    The charged incident occurred on February 15, 2016. Defendant and the victim
    went barhopping together on Valentine’s Day. After drinking at various bars, they got
    into an argument and the victim left. She noticed defendant had left his phone in her car.
    She went through the phone and discovered defendant had been texting with another
    woman. Defendant called her from the Hampton Inn. She went to the Hampton Inn after
    midnight to deliver the phone whereupon they began arguing again. The argument turned
    violent.
    Defendant jumped on the victim and started biting her face and hitting her. He bit
    her eyelid just underneath her eyebrow. As the victim tried to shove defendant off of her,
    he repeatedly punched her. He then bit her lips on the left side of her mouth. The victim
    could feel the blood from the bite on her eyelid ooze down her face. She managed to get
    out of the car and run to the hotel lobby for help. She was bleeding all down her swollen
    face. An emergency room doctor glued her eyebrow back together. She had marks on
    3
    her hands. She had bruising, including around her lips, scratches on her neck, and a cut
    to the bridge of her nose.
    DISCUSSION
    I
    Right to a Competency Hearing
    Defendant’s Evidence of Mental Incompetency
    Defendant’s odd behavior began on June 6, 2016, during court proceedings on the
    eve of trial. He expressed his frustration with his lawyer to the court and his need to see a
    doctor for mental problems. He disclosed he had a learning disability and did not
    understand what had been involved in a Marsden2 motion. He told the court he believed
    he was being treated unfairly. Defense counsel explained to the court that defendant’s
    behavior was atypical and, consequently, she could not ethically express a doubt as to his
    competence.
    Defendant’s negotiations with the prosecutor to settle the case failed the following
    day. In the proceedings that followed, he continued shouting “very, very, very loudly.”
    He shouted “ouch, ouch, ouch,” over and over again. The outbursts continued and he
    eventually banged his head on counsel’s table. He reported hearing voices. He was very
    uncooperative as he was removed from the courtroom and returned to the jail for a
    medical evaluation by the jail psychiatric staff. He was moved from the general
    population at the jail to sheltered housing for inmates with special needs.
    On June 8, defendant did not appear at trial. A guard saw him in a cell “head-
    butting” the ground. At the same time, defendant was slapping and punching the left side
    of his face. Bleeding from his left eyebrow, defendant was put in belly chains. His left
    eye socket was swollen and lacerated. Another guard charged with giving him his
    2   People v. Marsden (1970) 
    2 Cal. 3d 118
    (Marsden).
    4
    civilian clothes, saw defendant crouched on the floor with his hand on the right side of
    his head, yelling, screaming, and hitting the left side of his face. Rocking back and forth,
    defendant yelled, “Get out of my head. They made me do it.” He hit himself at least six
    times and held his head as he continued to rock back and forth. He was moaning and
    screaming as the officers entered to restrain him and then he resumed beating himself.
    There was a jail incident report documenting that he punched himself in the face, hit his
    head, and began crying. With mounting evidence defendant was decompensating,
    defense counsel expressed a doubt about his competency to assist her in his defense. She
    noted that mental illness can be fluid and he had a history of receiving psychiatric
    treatment in prison. She lamented the lack of paperwork to document any mental health
    treatment he had received.
    On June 9, defendant appeared at trial with his eye swollen shut. He was wringing
    his hands non-stop, grabbing and twisting his shirt, and mumbling while looking down
    and shaking his head. Defense counsel reported that defendant appeared frightened of
    her, could not assist her, was incapable of testifying, and appeared to have had a complete
    breakdown. He was reported to have defecated in his pants. A guard stated defendant
    began mumbling and exhibiting bizarre behavior once he reached the threshold of the
    courtroom. He never returned to court for his trial.
    On June 10, a guard testified defendant was screaming and belligerent while being
    transported to the court. He refused belly chains and shackles as he was escorted from
    medical housing. At the jail, he refused to shower and eat. His screaming was so
    disruptive, the guard took him back to the jail and he was placed on a suicide watch.
    Again, defense counsel renewed her motion for a competency hearing.
    Defendant refused to return to court on June 14, June 15, June 16, June 17,
    June 21, and June 22. He continued to hear voices and refuse to dress or come out from
    under the bed. The trial was completed in his absence.
    5
    The Trial Court’s Assessment of Defendant’s Competency
    The trial court expressed no doubt about defendant’s competency. The court
    refused defense counsel’s multiple requests for a competency hearing based on the belief
    that defendant’s behavior was merely a manipulative ploy to delay the proceedings. The
    trial judge reached this conclusion on the very first day defendant’s behavior began to
    deteriorate and its view remained constant, in spite of defendant’s worsening behavior
    and defense counsel’s increasing alarm.
    The trial court warned defendant, when he first expressed his confusion, explained
    he had a learning disability, and needed to see a medical doctor, that it would not delay
    the proceedings. It reissued the warning time and time again. It made an extensive
    record to substantiate defendant’s periods of lucidity and calm behavior. It called the
    guards to testify to their personal observations of defendant’s behavior. It reviewed the
    transcript of the preliminary hearing and an earlier Marsden motion in another court, and
    stated for the record that defendant had not evidenced signs of incompetency in these
    earlier settings. It was not until he was faced with going to trial that the trial court
    observed his disruptive behavior. It restated its belief that he was attempting to
    manipulate the system and delay his trial. It told defense counsel repeatedly it was not
    going to grant defendant a competency hearing. The trial court did not refer him for a
    psychological assessment. No psychiatrist or mental health professional testified to
    defendant’s competency to stand trial.
    A Matter of the Fundamental Right to Due Process
    Consistent with our most primal instinct for due process, a person cannot stand
    trial who is not mentally competent to understand the nature of the criminal proceedings
    or to assist in his or her defense in a rational manner. (People v. Jones (1991) 
    53 Cal. 3d 1115
    , 1152 (Jones).) “Both the due process clause of the Fourteenth Amendment to the
    United States Constitution and state law prohibit the state from trying or convicting a
    criminal defendant while he or she is mentally incompetent. ([Pen. Code, ]§ 1367; Drope
    6
    v. Missouri (1975) 
    420 U.S. 162
    , 181; Pate v. Robinson (1966) 
    383 U.S. 375
    , 384-386;
    People v. Ramos (2004) 
    34 Cal. 4th 494
    , 507.)” (People v. Rogers (2006) 
    39 Cal. 4th 826
    ,
    846 (Rogers).) Even if an accused appears competent at the beginning of the criminal
    proceedings, the trial court must remain vigilant and alert to any circumstances that
    indicate a defendant’s mental health has changed and that he or she may be unable to
    continue to meet the standards of competence to stand trial. (People v. Lightsey (2012)
    
    54 Cal. 4th 668
    , 690.) “Indeed, the United States Supreme Court has held that the failure
    of a trial court to employ procedures to protect against trial of an incompetent defendant
    deprives the defendant of his due process right to a fair trial and requires reversal of his
    conviction.” (People v. Hale (1988) 
    44 Cal. 3d 531
    , 539.)
    The sanctity of this basic principle is not challenged here. But the role of the trial
    court, and the discretion it is accorded, in assessing a criminal defendant’s ongoing
    competency to stand trial is hotly contested, and in our view, misunderstood by the trial
    court and the Attorney General. It is true that prior to People v. Pennington (1967)
    
    66 Cal. 2d 508
    (Pennington), a trial court was permitted to resolve conflicting evidence
    concerning a defendant’s competence to stand trial in determining whether to conduct a
    competency hearing. (People v. 
    Hale, supra
    , 44 Cal.3d at p. 539.) But the Supreme
    Court in Pennington, following the United States Supreme Court’s directive in Pate v.
    
    Robinson, supra
    , 
    383 U.S. 375
    [
    15 L. Ed. 2d 815
    ], reinterpreted Penal Code section 1368
    and held: “Pate v. Robinson stands for the proposition that an accused has a
    constitutional right to a hearing on present sanity if he comes forward with substantial
    evidence that he is incapable, because of mental illness, of understanding the nature of
    the proceedings against him or of assisting in his defense. Once such substantial
    evidence appears, a doubt as to the sanity of the accused exists, no matter how persuasive
    other evidence -- testimony of prosecution witnesses or the court’s own observations of
    the accused -- may be to the contrary. [¶] . . . [W]hen defendant has come forward with
    substantial evidence of present mental incompetence, he is entitled to a [Penal Code]
    7
    section 1368 hearing as a matter of right under Pate v. 
    Robinson, supra
    , 
    383 U.S. 375
    .
    The judge then has no discretion to exercise.” 
    (Pennington, supra
    , 66 Cal.2d at p. 518,
    emphasis added.)
    There has been no retreat from the Pennington rule. “The failure to declare a
    doubt and conduct a hearing when there is substantial evidence of incompetence,
    however, requires reversal of the judgment of conviction.” 
    (Rogers, supra
    , 39 Cal.4th at
    p. 847.) “[O]nce the accused has come forward with substantial evidence of
    incompetence to stand trial, due process requires that a full competence hearing be held
    as a matter of right. [Citation.] In that event, the trial judge has no discretion to
    exercise.” (People v. Welch (1999) 
    20 Cal. 4th 701
    , 738 (Welch).) “When the accused
    presents substantial evidence of incompetence, due process requires that the trial court
    conduct a full competency hearing.” 
    (Jones, supra
    , 53 Cal.3d at p. 1152.) Failure to hold
    a competency hearing when there is substantial evidence the defendant is not competent
    requires reversal. (People v. Murdoch (2011) 
    194 Cal. App. 4th 230
    , 239.)
    The trial court’s duty to conduct a full competency hearing is not relieved even
    when the prosecution’s evidence is also substantial, is in conflict with the evidence of
    incompetency, and may seem more persuasive. (People v. Stankewitz (1982) 
    32 Cal. 3d 80
    , 93; 
    Pennington, supra
    , 66 Cal.2d at p. 519.) Nor do the judge’s personal
    observations obviate the necessity for a competency hearing. 
    (Jones, supra
    , 53 Cal.3d at
    pp. 1152-1153.) “ ‘ “The function of the trial court in applying Pate[ v. Robinson]’s
    substantial evidence test is not to determine the ultimate issue: Is the defendant
    competent to stand trial? It [sic] sole function is to decide whether there is any evidence
    which, assuming its truth, raises a reasonable doubt about the defendant’s competency.
    At any time that such evidence appears, the trial court sua sponte must order an
    evidentiary hearing on the competency issue. It is only after the evidentiary hearing,
    applying the usual rules appropriate to trial, that the court decides the issue of
    8
    competency of the defendant to stand trial.” [Citation.]’ ” (People v. Tomas (1977) 
    74 Cal. App. 3d 75
    , 89 (Tomas).)
    The sole question is whether defendant presented substantial evidence he was not
    mentally competent to stand trial. Substantial evidence is a quantum of evidence that
    raises a reasonable doubt concerning the defendant’s competence to stand trial. (People
    v. Young (2005) 
    34 Cal. 4th 1149
    , 1217 (Young).) The doubt which triggers the obligation
    to order a hearing is not a subjective one, but rather a doubt determined objectively from
    the record. 
    (Tomas, supra
    , 74 Cal.App.3d at p. 90.) Thus, we must determine whether a
    reasonable jurist, with the benefit of the available information, would have developed a
    doubt about defendant’s mental competence. (Odle v. Woodford (9th Cir. 2001) 
    238 F.3d 1084
    , 1089 (Odle).)
    Competence to stand trial requires “the mental acuity to see, hear and digest the
    evidence, and the ability to communicate with counsel in helping prepare an effective
    defense.” 
    (Odle, supra
    , 238 F.3d at p. 1089.) A defendant’s demeanor and irrational
    behavior may constitute substantial evidence of incompetence (People v. Mai (2013)
    
    57 Cal. 4th 986
    , 1032-1033); but calm behavior in the courtroom is not necessarily
    inconsistent with mental incompetence. (Odle, at p. 1089.) Defense counsel’s
    assessment is entitled to some weight. (People v. Sattiewhite (2014) 
    59 Cal. 4th 446
    ,
    465.) Suicide attempts or suicide ideation may raise a bona fide doubt regarding a
    defendant’s competence to stand trial. 
    (Rogers, supra
    , 39 Cal.4th at p. 848.)
    Analysis
    Defendant argues that although the trial court refused to hold a competency
    hearing, it called witnesses and made a record to substantiate its preordained
    determination that defendant was competent to stand trial. According to defendant, the
    judge had made a finding of competency during a Marsden hearing before trial and
    before most of the substantial evidence of incompetence had emerged. The court never
    wavered from its initial assessment, despite mounting evidence of self-mutilation,
    9
    inappropriate outbursts, reports defendant was hearing voices, had defecated in his pants,
    and was put on suicide watch, and pleas by defense counsel to conduct a full competency
    hearing because defendant was no longer able to assist in his defense. Defendant insists
    we must reverse the judgment because there was substantial evidence of his
    incompetency.
    The Attorney General contends the evidence does not meet the requisite threshold.
    Implicit in the Attorney General’s argument and the trial court’s citation to People v.
    Medina (1995) 
    11 Cal. 4th 694
    , is the nagging notion that we should defer to the trial
    court’s assessment of competency because it observed his behavior, familiarized itself
    with his conduct in the past, and made a record of the many times he behaved calmly and
    appropriately. In short, the Attorney General insists there was no abuse of discretion.
    But, as the legion of cases cited above demonstrate, a trial court has no discretion to
    exercise once a defendant presents substantial evidence of incompetency. We examine
    the evidence to determine whether the evidence is sufficient to create a reasonable doubt
    he was competent to stand trial.
    The most glaring deficit in this case is the utter lack of any psychological
    evaluation of defendant available to the court. Unlike most of the reported cases cited by
    the parties, no psychiatrist, psychologist, or any other mental health expert testified
    whether defendant was capable of understanding the nature of the proceedings or was
    equipped to help his lawyer with his defense. The trial court’s decision that defendant
    was competent was based exclusively on its own observation of defendant’s behavior, the
    observations of the guards, and the absence of any record of any prior findings of
    incompetency or notations of disruptive behavior.
    In the absence of an expert opinion that defendant was feigning his mental health
    issues (see, e.g, People v. Kroeger (1964) 
    61 Cal. 2d 236
    , 243-244), we conclude the
    record contains substantial evidence he may not have been competent to stand trial. As
    mentioned above, the fact that defendant had appeared lucid and calm during earlier court
    10
    appearances does not necessarily mean he remained competent. The trial court has a
    responsibility to monitor any changes in a criminal defendant’s capacity to stand trial. As
    defense counsel aptly noted, mental health can be fluid; defendant’s competency could
    very well change over time. Without any guidance from a mental health professional, the
    court could easily attribute motives to defendant a mental illness might prevent him from
    entertaining. A full competency hearing would have provided defense counsel the
    opportunity to explore the nuances of defendant’s competency and whether his bizarre
    behavior and outbursts were a result of a developmental disability or mental disorder
    (Pen. Code, § 1367) or, as the trial court believed, a mere ploy to manipulate and delay
    the proceedings. But “[w]hen defense counsel has presented substantial evidence that a
    defendant is incompetent to stand trial, the trial court must declare a doubt as to the
    defendant’s competence and suspend proceedings even if the court’s own observations
    lead it to believe the defendant is competent.” 
    (Jones, supra
    , 53 Cal.3d at p. 1153.)
    It is true that disruptive behavior alone may not trigger the necessity for a
    competency hearing. (People v. Burney (1981) 
    115 Cal. App. 3d 497
    , 503.) But here his
    behavior was not only disruptive, but out of control, self-destructive, and extremely odd.
    The judge described him as yelling “very, very, very loudly” and he would not calm
    down; he continued to wail, “ouch, ouch, ouch”; he was crying and mumbling; he
    reported hearing voices on multiple occasions; he lost control of his bowels; he beat his
    head into the floor; he injured his eye; he slapped himself repeatedly. Even the trial court
    commented that it had never seen comparable behavior in the nine years it had presided
    over trials. Jail personnel were concerned enough about defendant’s behavior to remove
    him from the general population, place him in a medical unit, order a psychological
    assessment, and put him on suicide watch.
    It certainly could be the case, as the trial court found, that defendant was a master
    manipulator and that his antics were designed to delay his trial. But the question is not
    whether the evidence is sufficient to support the trial court’s finding or whether the trial
    11
    court abused its discretion. The case authority, as reported above, is clear. The question
    is whether there is substantial evidence to cast a reasonable doubt defendant was mentally
    competent. Because there was more than substantial evidence defendant was
    incompetent, the trial court was compelled by fundamental principles of due process to
    conduct a competency hearing. It may have reached the same conclusion following a full
    hearing; but in the absence of a hearing, we are compelled to reverse the judgment.
    The Attorney General points us to cases in which there was not substantial
    evidence the defendant was incompetent. The facts in these cases are easily distinguished
    and the evidence of incompetence far less compelling. In 
    Welch, supra
    , 
    20 Cal. 4th 701
    ,
    the defendant demonstrated a remarkable knowledge of case authority, courtroom
    procedure, and other aspects of legal representation. His only limitation appeared to be a
    “ ‘paranoid distrust of the judicial system.’ ” (Id. at p. 739) Although that distrust
    precluded him from effectively representing himself, it did not amount to substantial
    evidence of incompetence to stand trial. (Id. at pp. 739-742.)
    In 
    Young, supra
    , 
    34 Cal. 4th 1149
    , a licensed psychologist administered a series of
    neuropsychological tests and found the defendant was well oriented, not psychotic, and
    not suffering from a thought disorder. (Id. at p. 1215.) Although he reported the
    defendant’s verbal intelligent quotient to be in the borderline range and rated his level of
    acquired knowledge as exceptionally poor (Ibid.), he did not relate any of his findings in
    terms of the defendant’s competency to stand trial. (Id. at p. 1217.) To the contrary, he
    made no diagnosis of a developmental disability and testified defendant did not have a
    thought disorder. (Id. at p. 1218.) And there was no testimony by family members or
    former teachers to suggest he was incompetent to stand trial. (Ibid.) Here there is
    absolutely no expert evaluation of defendant’s mental capacity whether related to his
    ability to function or his competency to stand trial. Yet there is an abundance of
    evidence, not presented in Young, of his outrageous behavior in court, his self-
    destructiveness, and other signs of mental illness including mumbling and hearing voices.
    12
    In 
    Rogers, supra
    , 
    39 Cal. 4th 826
    , the court found the defendant’s suicide
    tendencies alone “did not constitute substantial evidence of incompetence, for they were
    not accompanied by bizarre behavior, the testimony of a mental health professional
    regarding competence, or any other indications of an inability to understand the
    proceedings or to assist counsel.” (Id. at p. 848.) No medical expert testified that his
    mental health problems rendered him incompetent to stand trial. (Id. at pp. 848-849.)
    Whereas the defendant in Rogers did not exhibit any bizarre behavior, we have
    catalogued defendant’s litany of outbursts and odd behavior. Thus, the evidence
    defendant was incompetent to stand trial was far more than the suicide ideation recounted
    in Rogers.
    And in People v. Howard (1992) 
    1 Cal. 4th 1132
    , the defendant pointed to two
    incidents he believed constituted substantial evidence of incompetence—an inflammation
    in the eyes and his agitation about jail conditions. (Id. at p. 1162.) “The circumstances
    underlying defendant’s motion for a continuance indicated that he needed medical
    attention, and those underlying his motion for a mistrial indicated that the conditions of
    his confinement were unsatisfactory. However, nothing about either incident remotely
    suggested that he was mentally incompetent. Thus, the court was not required to order a
    hearing.” (Id. at p. 1163.) Whereas the evidence in Howard involved only a physical
    ailment expected to heal and a dissatisfaction with his prison conditions he clearly, even
    if angrily, articulated, here the evidence presented to the trial court suggested a much
    more amorphous and debilitating mental condition which became an obstacle to
    defendant’s ability to assist in his defense.
    None of these cases are factually apposite, although all of the cases recite the same
    legal principles. Due process will not countenance the trial of a person who either cannot
    understand the nature of the proceedings or who cannot assist in his or her own defense.
    When the evidence of any quirks, physical anomalies, frustrations, anxieties, or
    borderline intellectual functioning does not interfere with the defendant’s understanding
    13
    of the proceedings or hamper his or her ability to help fashion his or her defense, there is
    no assault on our notion of fundamental fairness because there is not sufficient evidence
    to suggest the defendant is mentally incompetent. Where, as here, however, substantial
    evidence does suggest the defendant might be incompetent, due process dictates a full
    exploration of the defendant’s mental health to determine if, in fact, he or she is
    competent to stand trial. Since the trial court refused defense counsel’s multiple requests
    for a competency hearing and there is substantial evidence in this record that defendant
    was incompetent, the judgment must be reversed.
    II
    Sufficient Evidence of Mayhem
    Because the judgment must be reversed, we need address only one of the
    remaining issues raised by defendant. If there is insufficient evidence to support a
    conviction, double jeopardy precludes retrial. (People v. Superior Court (Marks) (1991)
    
    1 Cal. 4th 56
    , 72.) Thus, we will consider defendant’s contention that there is insufficient
    evidence of mayhem because there was no evidence the victim suffered a slit lip or was
    permanently disfigured.
    Penal Code section 203 defines simple mayhem as follows: “Every person who
    unlawfully and maliciously deprives a human being of a member of his body, or disables,
    disfigures, or renders it useless, or cuts or disables the tongue, or puts out an eye, or slits
    the nose, ear, or lip, is guilty of mayhem.” Under California case law, mayhem has been
    expanded to include acts not within the original definition of the crime, which, in English
    common law, required a dismemberment or disabling that caused a substantial
    diminishment in the victim’s ability to fight for the sovereign. (People v. Santana (2013)
    
    56 Cal. 4th 999
    , 1003-1004 (Santana).)
    “Though [Penal Code] section 203 contains ‘verbal vestiges’ of the common law
    and the Coventry Act of 1670, ‘ “the modern rationale of the crime may be said to be the
    preservation of the natural completeness and normal appearance of the human face and
    14
    body, and not, as originally, the preservation of the sovereign’s right to the effective
    military assistance of his subjects.” ’ [Citations.] In other words, [Penal Code] section
    203 ‘protects the integrity of the victim’s person.’ ” 
    (Santana, supra
    , 56 Cal.4th at
    p. 1004.)
    The law of mayhem has evolved to such a degree that a number of cases have
    affirmed mayhem convictions based on relatively minor injuries. (People v. Keenan
    (1991) 
    227 Cal. App. 3d 26
    , 35-36; People v. Caldwell (1984) 
    153 Cal. App. 3d 947
    , 952;
    People v. Newble (1981) 
    120 Cal. App. 3d 444
    , 448.) Defendant insists, however, that the
    injuries sustained by the victim are just too minor to constitute mayhem even under the
    more elastic definition employed in many more modern cases.
    Penal Code Section 203 pays particular attention to the face, recognizing the
    particular pain and emotional scarring that results from disfiguring a person’s face. Here
    defendant savagely bit the victim’s face, including her lip and eyelid. She testified he bit
    her in a semicircle on the top of her lip on the left side clear through her bottom left lip.
    She explained the bite marks left two scars and, at the time of trial, she could not feel that
    part of her lip. The bite to her right eyelid resulted in another scar on her face. Her
    severed eyebrow had to be glued back together and her eye remained swollen shut for a
    week. Her right eyebrow is permanently shorter than her left eyebrow.
    Defendant argues that the victim testified defendant punctured her lip; she did not
    testify he slit it. He insists that a punctured lip does not meet the statutory definition of
    mayhem. We disagree. The permanent scars on her lip are precisely the type of
    disfiguring injury the mayhem statute targets. While it is true that the injuries must be
    more than slight and temporary (People v. Thomas (1979) 
    96 Cal. App. 3d 507
    , overruled
    on other grounds in People v. Kimble (1988) 
    44 Cal. 3d 480
    , 498), we do not believe that
    the method used to inflict the disfigurement to the face should be as narrowly construed
    as defendant suggests. Here defendant viciously bit the victim’s face, including both her
    lip and eye. Whether the defendant technically slit, bit, or punctured the victim’s lip, he
    15
    caused a disfiguring injury on a sensitive and prominent feature on her face. Indeed, the
    language of the statute singles out the lip, along with other parts of the face, as worthy of
    special protection. In the context of the evolving nature of the mayhem statutes and the
    modern focus on the “ ‘ “natural completeness and the normal appearance of the human
    face” ’ ” 
    (Santana, supra
    , 56 Cal.4th at p. 1004), we construe slitting to include such
    other mechanisms as puncturing and biting as long as the injury inflicted is not slight or
    temporary.
    Moreover, defendant also minimizes the scarring. The Legislature did not provide
    defendant a free pass for small scars. Rather, the statute provides, and the jury was
    instructed, that mayhem consists of permanent scarring. The victim’s testimony
    constitutes substantial evidence that she continues to have scars on her face where
    defendant bit her. That testimony was also enough to support the conviction for mayhem.
    DISPOSITION
    The judgment is reversed. Defendant can be retried for mayhem if the trial court
    finds he is mentally competent to stand trial following a full competency hearing and the
    prosecution refiles the charges against him.
    RAYE            , P. J.
    We concur:
    BLEASE           , J.
    BUTZ           , J.
    16